Providence Health & Services Mt

NPI #1821235599 in Hamilton, Montana

Provider Information

NPI Number: 1821235599
Entity Type: Organization
Organization Name: Providence Health & Services Mt
Subpart: Yes (part of a larger organization)
Parent Organization: PROVIDENCE HEALTH & SERVICES
Primary Specialty: Pain Medicine - Interventional Pain Medicine
Enumeration Date: Jan 16, 2009
Last Updated: Jun 22, 2011

Practice Location

Address: 1103 WESTWOOD DR
City: Hamilton
State: Montana
ZIP Code: 59840-2342
Phone: (406) 363-4209

Authorized Official

Name: MRS. TERI MASTERS
Title: RCM OPERATIONS MGR.
Phone: (406) 329-5795

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Psychologist	103T00000X
Nurse Practitioner	363L00000X
Pain Medicine - Interventional Pain Medicine — Interventional Pain Medicine	208VP0014X	Primary

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